The usefulness of flexible cystoscopy for preventing double-J stent malposition after laparoscopic ureterolithotomy

Kim, Jae Yoon; Kang, Seok Ho; Cheon, Jun; Lee, Jeong Gu; Kim, Je Jong; Kang, Sung Gu

doi:10.1186/s12894-017-0232-4

Cited by 3 publications

(2 citation statements)

References 27 publications

(27 reference statements)

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“…Kim et al. [7] described a technique for JJ stent placement with two guidewires. In their series, the ureter was catheterized using a standard 6‐F JJ stent with both a long and a short guidewire, inserted through two separate side holes of the stent, that were closed at both ends.…”

Section: Discussionmentioning

confidence: 99%

“…Two main methods of stenting after LUL have been described: (i) retrograde, via the bladder route, either pre-or postoperatively [3,4] and (ii) antegrade (intracorporeal) [2,5]. These methods, together with others that have been described [6,7], could require extra cystoscopic or ureteroscopic instrumentation (the use of which is familiar only to urologists), changing of patient position, modification of the JJ stent or of the guidewire, or further dissection and incision of the upper ureter.…”

Section: Introductionmentioning

confidence: 99%

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Double‐J stent placement during laparoscopic ureterolithotomy: the “seagull” technique

et al. 2022

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Objective To present a new technique of double‐j stent (DJ) placement during laparoscopic transperitoneal ureterolithotomy (LUL). Patients and methods Following the extraction of the stone, a 6 French DJ open‐end stent is prepared: two straight‐tip hydrophilic guidewires are inserted into the appropriate lateral holes of the stent, as identified by the preoperative evaluation of the CT scan. Approximately 5 centimeters of each wire protrude from the proximal and distal ends of the stent to straighten its terminal curl, thus resembling the wings of a flying seagull. The remaining proximal portions of both guide wires are left within each guidewire dispenser. The two ends of the stent are grasped together in a U‐fashion and inserted into the abdomen through a 10mm port. Once in the abdomen, the longer segment of the stent is inserted and pushed into the ureterotomy until it reaches the target site. The guide wire is then removed. The same procedure is repeated for the other end of the stent. A brief literature review on the currents techniques of laparoscopic DJ placement is also presented. Results Analyzing the outcomes of 21 LUL, the "seagull" technique is time‐saving and safe. No perioperative complications were encountered. There is no risk of enlarging or tearing the ureterotomy and no need for patient replacement, extra cystoscopic or ureteroscopic procedures as well as of using modified guidewires and closed‐tip stents. Conclusion We described our step‐by‐step technique for DJ placement during LUL.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Double‐J stent placement during laparoscopic ureterolithotomy: the “seagull” technique

et al. 2022

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Individualized Approach to Upper Urinary Tract Drainage After Retroperitoneoscopic Ureterolithotomy

Nikitin,

Pasіechnikov,

Golovko

et al. 2024

Clin. and prev. med.

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Aim. To clarify the indications for the use of ureteral stents during retroperitoneoscopic ureterolithotomy (RULT). Materials and methods. We analyzed the results of treatment of 53 patients who underwent RULT for ureteral stone. In 18 (34%) patients, a stent was not placed after the operation (group 1), and in 35 (66.0%) patients, a stent was placed (group 2). Indications for stent placement were determined during surgery. Results. When performing RULT for the treatment of patients with ureteral stones, postoperative complications were not severe, resolved on their own or required a slight increase in therapy in the postoperative period. These complications did not significantly affect the duration of treatment or its results. There were no significant differences in the main clinical and laboratory parameters in both groups 2 weeks after surgery. The incidence of complications was low and did not differ significantly in both groups. Conclusions. No significant differences were found in terms of the immediate results of treatment of patients with ureterolithiasis after RULT, depending on whether a stent was used to drain the ureteral lumen in the patient or not, when a stent was used according to indications. Complications after RULT are infrequent, transient, and require only minimal therapeutic correction. Stenting of the ureter is expected to lead to a significant increase in the duration of surgery. Drainage of the ureter by placing a stent is an absolutely justified procedure in the presence of severe changes in the ureteral wall, manifested by edema of all layers, the presence of mucosal ulcers, as well as perifocal inflammation in the surrounding tissues surrounding the ureter. On the other hand, stenting of the ureter after RPU is not a routine procedure, and in the absence of the above changes, it can be abandoned without any complications.

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A new and easy technique of double-J stenting after retroperitoneal laparoscopic ureterolithotomy: A discussion of other techniques

Das

Rangad

2020

Urol Ann

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The usefulness of flexible cystoscopy for preventing double-J stent malposition after laparoscopic ureterolithotomy

Cited by 3 publications

References 27 publications

Double‐J stent placement during laparoscopic ureterolithotomy: the “seagull” technique

Double‐J stent placement during laparoscopic ureterolithotomy: the “seagull” technique

Individualized Approach to Upper Urinary Tract Drainage After Retroperitoneoscopic Ureterolithotomy

A new and easy technique of double-J stenting after retroperitoneal laparoscopic ureterolithotomy: A discussion of other techniques

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